Individual provider Active NPI

Bradley Leonard Zink, DO

  • Family Medicine Physician
  • Odessa, MO
National Provider Identifier
1316901010
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DOR9F95 Issued in MO
Practice address
408 N 4TH St
Suite B
Odessa, MO 64076-1646
Phone
(816) 230-8777
Fax
(816) 230-8855
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DOR9F95 MO Primary

Addresses

Primary practice location

408 N 4TH St
Suite B
Odessa, MO 64076-1646

Mailing address

408 N 4TH St
Suite B
Odessa, MO 64076-1646
Phone (816) 230-8777

Other identifiers 2

IdentifierTypeStateIssuer
12844049OtherMOBC/BS KC IND PROV
080185566OtherMORAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091123000448 MO Practitioner - Family PracticePractitioner - General Practice 4789606260 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DOR9F95MOMDFamily Medicine Physician

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJFIBA/Endpoint/HJFIBA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
R Franklin University of Med & Sci/Chicago Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Odessa Medical Clinic PC 2 clinicians

Practice addresses (Care Compare)

408 N 4TH St
Suite B
Odessa, MO 64076-1646
Phone (816) 230-8777

Hospital & facility affiliations

  • Centerpoint Medical Center Hospital, Independence, MO, CCN 260095
  • St Mary'S Medical Center Hospital, Blue Springs, MO, CCN 260193
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1316901010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 N 4TH ST",
            "address_2": "SUITE B",
            "city": "ODESSA",
            "state": "MO",
            "postal_code": "640761646",
            "telephone_number": "816-230-8777",
            "fax_number": "816-230-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 N 4TH ST",
            "address_2": "SUITE B",
            "city": "ODESSA",
            "state": "MO",
            "postal_code": "640761646",
            "telephone_number": "816-230-8777",
            "fax_number": "816-230-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINK",
        "first_name": "BRADLEY",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "DOR9F95",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS KC IND PROV",
            "identifier": "12844049",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080185566",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, MO

Sources for this page

Verify at the official NPI Registry.